<div>
    <div style="width:70px; height:70px; overflow:hidden"><a href="[:url_app:]/my-account/picture" title="change profile picture"><img src="[:profile_photo:]"/></a></div>
    <div style="padding-top:3px"><a href="[:url_app:]/my-account/picture">change profile picture</a></div>
    <form action="" method="post">
        <table class="less_cellpadded">
            <tbody>
                <tr>
                    <td class="medium" valign="top"><h1>Edit Profile</h1></td>
                    <td align="right">
                    </td>
                </tr>
                <tr>
                    <td><label for="first_name" class="darkgrey">First Name:</label></td>
                    <td><input class="text edit_field" id="user_first_name" name="user[firstname]" size="30" value="[:firstname:]" type="text"></td>
                </tr>
                <tr>
                    <td><label for="first_name" class="darkgrey">Last Name:</label></td>
                    <td><input class="text edit_field" id="user_last_name" name="user[lastname]" size="30" value="[:lastname:]" type="text"></td>
                </tr>
                <tr>
                    <td><label for="birthday" class="darkgrey">Birthday:</label></td>
                    <td><select id="user_birthday_2i" name="user[birthday(2i)]">
                            <option selected="selected" value="1">January</option>
                            <option value="2">February</option>
                            <option value="3">March</option>
                            <option value="4">April</option>
                            <option value="5">May</option>
                            <option value="6">June</option>
                            <option value="7">July</option>
                            <option value="8">August</option>
                            <option value="9">September</option>
                            <option value="10">October</option>
                            <option value="11">November</option>
                            <option value="12">December</option>
                        </select>
                        <select id="user_birthday_3i" name="user[birthday(3i)]">
                            <option selected="selected" value="1">1</option>
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            <option value="7">7</option>
                            <option value="8">8</option>
                            <option value="9">9</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                            <option value="13">13</option>
                            <option value="14">14</option>
                            <option value="15">15</option>
                            <option value="16">16</option>
                            <option value="17">17</option>
                            <option value="18">18</option>
                            <option value="19">19</option>
                            <option value="20">20</option>
                            <option value="21">21</option>
                            <option value="22">22</option>
                            <option value="23">23</option>
                            <option value="24">24</option>
                            <option value="25">25</option>
                            <option value="26">26</option>
                            <option value="27">27</option>
                            <option value="28">28</option>
                            <option value="29">29</option>
                            <option value="30">30</option>
                            <option value="31">31</option>
                        </select>
                        <select id="user_birthday_1i" name="user[birthday(1i)]">
                            <option value="1960">1960</option>
                            <option value="1961">1961</option>
                            <option value="1962">1962</option>
                            <option value="1963">1963</option>
                            <option value="1964">1964</option>
                            <option value="1965">1965</option>
                            <option value="1966">1966</option>
                            <option value="1967">1967</option>
                            <option value="1968">1968</option>
                            <option value="1969">1969</option>
                            <option value="1970">1970</option>
                            <option value="1971">1971</option>
                            <option value="1972">1972</option>

                            <option value="1973">1973</option>
                            <option value="1974">1974</option>
                            <option value="1975">1975</option>
                            <option value="1976">1976</option>
                            <option value="1977">1977</option>
                            <option value="1978">1978</option>
                            <option value="1979">1979</option>
                            <option value="1980">1980</option>
                            <option value="1981">1981</option>
                            <option value="1982">1982</option>
                            <option value="1983">1983</option>
                            <option value="1984">1984</option>
                            <option selected="selected" value="1985">1985</option>
                            <option value="1986">1986</option>
                            <option value="1987">1987</option>
                            <option value="1988">1988</option>
                            <option value="1989">1989</option>
                            <option value="1990">1990</option>
                            <option value="1991">1991</option>
                            <option value="1992">1992</option>
                            <option value="1993">1993</option>
                            <option value="1994">1994</option>
                            <option value="1995">1995</option>
                            <option value="1996">1996</option>
                            <option value="1997">1997</option>
                            <option value="1998">1998</option>
                            <option value="1999">1999</option>
                            <option value="2000">2000</option>
                            <option value="2001">2001</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td><label for="gender" class="darkgrey">Gender:</label></td>
                    <td style="padding: 14px 0pt;"><input checked="checked" id="user_gender_guy" name="user[gender]" style="border: 0pt none ; cursor: pointer;" value="guy" type="radio">
                        <label for="user_gender_guy" style="cursor: pointer;">Guy</label>
                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                        <input id="user_gender_girl" name="user[gender]" style="border: 0pt none ; cursor: pointer;" value="girl" type="radio">
                        <label for="user_gender_girl" style="cursor: pointer;">Girl</label>
                    </td>
                </tr>
                <tr>
                    <td><label for="location" class="darkgrey">Location:</label></td>
                    <td><input class="text edit_field" id="user_location" name="user[location]" size="30" value="[:location:]" type="text"></td>
                </tr>
                <tr>
                    <td><label for="country" class="darkgrey">Country:</label></td>
                    <td><select id="user_country_id" name="user[country_id]" class="text edit_field">
                            <option value="87">Afghanistan</option>
                            <option value="204">Aland Islands</option>
                            <option value="122">Albania</option>
                            <option value="36">Algeria</option>
                            <option value="178">American Samoa</option>
                            <option value="218">Andorra</option>
                            <option value="48">Angola</option>
                            <option value="176">Anguilla</option>
                            <option value="219">Antarctica</option>
                            <option value="170">Antigua and Barbuda</option>
                            <option value="22">Argentina</option>
                            <option value="110">Armenia</option>
                            <option value="192">Aruba</option>
                            <option value="74">Australia</option>
                            <option value="101">Austria</option>
                            <option value="138">Azerbaijan</option>
                            <option value="21">Bahamas</option>
                            <option value="136">Bahrain</option>
                            <option value="83">Bangladesh</option>
                            <option value="177">Barbados</option>
                            <option value="108">Belarus</option>
                            <option value="24">Belgium</option>
                            <option value="26">Belize</option>
                            <option value="70">Benin</option>
                            <option value="5">Bermuda</option>
                            <option value="203">Bhutan</option>
                            <option value="14">Bolivia</option>
                            <option value="129">Bosnia and Herzegovina</option>
                            <option value="65">Botswana</option>
                            <option value="164">Bouvet Island</option>
                            <option value="27">Brazil</option>
                            <option value="92">Brunei Darussalam</option>
                            <option value="113">Bulgaria</option>
                            <option value="45">Burkina Faso</option>
                            <option value="211">Burundi</option>
                            <option value="175">Cambodia</option>
                            <option value="40">Cameroon</option>
                            <option value="3">Canada</option>
                            <option value="61">Cape Verde</option>
                            <option value="147">Cayman Islands</option>
                            <option value="67">Central African Republic</option>
                            <option value="205">Chad</option>
                            <option value="20">Chile</option>
                            <option value="76">China</option>
                            <option value="145">Colombia</option>
                            <option value="33">Comoros</option>
                            <option value="68">Congo</option>
                            <option value="166">Cook Islands</option>
                            <option value="131">Costa Rica</option>
                            <option value="38">Cote D'Ivoire</option>
                            <option value="185">Croatia</option>
                            <option value="187">Cuba</option>
                            <option value="99">Cyprus</option>
                            <option value="97">Czech Republic</option>
                            <option value="104">Denmark</option>
                            <option value="227">Djibouti</option>
                            <option value="23">Dominica</option>
                            <option value="155">Dominican Republic</option>
                            <option value="144">Ecuador</option>
                            <option value="30">Egypt</option>
                            <option value="161">El Salvador</option>
                            <option value="63">Equatorial Guinea</option>
                            <option value="222">Eritrea</option>
                            <option value="118">Estonia</option>
                            <option value="202">Ethiopia</option>
                            <option value="72">Europe</option>
                            <option value="135">Falkland Islands (Malvinas)</option>
                            <option value="207">Faroe Islands</option>
                            <option value="194">Fiji</option>
                            <option value="114">Finland</option>
                            <option value="17">France</option>
                            <option value="223">French Guiana</option>
                            <option value="225">French Polynesia</option>
                            <option value="52">Gabon</option>
                            <option value="69">Gambia</option>
                            <option value="107">Georgia</option>
                            <option value="12">Germany</option>
                            <option value="37">Ghana</option>
                            <option value="167">Gibraltar</option>
                            <option value="93">Greece</option>
                            <option value="220">Greenland</option>
                            <option value="181">Grenada</option>
                            <option value="213">Guadeloupe</option>
                            <option value="141">Guam</option>
                            <option value="156">Guatemala</option>
                            <option value="197">Guernsey</option>
                            <option value="200">Guinea</option>
                            <option value="221">Guinea-Bissau</option>
                            <option value="186">Guyana</option>
                            <option value="140">Haiti</option>
                            <option value="158">Heard Island and McDonald Islands</option>
                            <option value="214">Holy See (Vatican City State)</option>
                            <option value="148">Honduras</option>
                            <option value="81">Hong Kong</option>
                            <option value="120">Hungary</option>
                            <option value="128">Iceland</option>
                            <option value="11">India</option>
                            <option value="84">Indonesia</option>
                            <option value="13">Iran, Islamic Republic of</option>
                            <option value="109">Iraq</option>
                            <option value="25">Ireland</option>
                            <option value="199">Isle of Man</option>
                            <option value="18">Israel</option>
                            <option value="7">Italy</option>
                            <option value="142">Jamaica</option>
                            <option value="73">Japan</option>
                            <option value="216">Jersey</option>
                            <option value="160">Jordan</option>
                            <option value="117">Kazakhstan</option>
                            <option value="34">Kenya</option>
                            <option value="232">Kiribati</option>
                            <option value="80">Korea</option>
                            <option value="121">Kuwait</option>
                            <option value="198">Kyrgyzstan</option>
                            <option value="116">Latvia</option>
                            <option value="111">Lebanon</option>
                            <option value="43">Lesotho</option>
                            <option value="66">Liberia</option>
                            <option value="55">Libyan Arab Jamahiriya</option>
                            <option value="206">Liechtenstein</option>
                            <option value="123">Lithuania</option>
                            <option value="127">Luxembourg</option>
                            <option value="183">Macau</option>
                            <option value="132">Macedonia</option>
                            <option value="47">Madagascar</option>
                            <option value="60">Malawi</option>
                            <option value="77">Malaysia</option>
                            <option value="226">Maldives</option>
                            <option value="44">Mali</option>
                            <option value="133">Malta</option>
                            <option value="165">Marshall Islands</option>
                            <option value="212">Martinique</option>
                            <option value="210">Mauritania</option>
                            <option value="53">Mauritius</option>
                            <option value="217">Mayotte</option>
                            <option value="4">Mexico</option>
                            <option value="143">Micronesia, Federated States of</option>
                            <option value="112">Moldova</option>
                            <option value="139">Monaco</option>
                            <option value="188">Mongolia</option>
                            <option value="96">Montenegro</option>
                            <option value="195">Montserrat</option>
                            <option value="50">Morocco</option>
                            <option value="59">Mozambique</option>
                            <option value="201">Myanmar</option>
                            <option value="49">Namibia</option>
                            <option value="237">Nauru</option>
                            <option value="196">Nepal</option>
                            <option value="16">Netherlands</option>
                            <option value="149">Netherlands Antilles</option>
                            <option value="91">New Caledonia</option>
                            <option value="79">New Zealand</option>
                            <option value="154">Nicaragua</option>
                            <option value="42">Niger</option>
                            <option value="15">Nigeria</option>
                            <option value="235">Niue</option>
                            <option value="238">Norfolk Island</option>
                            <option value="180">Northern Mariana Islands</option>
                            <option value="100">Norway</option>
                            <option value="115">Oman</option>
                            <option value="78">Pakistan</option>
                            <option value="173">Palau</option>
                            <option value="209">Palestinian Territory, Occupied</option>
                            <option value="90">Panama</option>
                            <option value="191">Papua New Guinea</option>
                            <option value="168">Paraguay</option>
                            <option value="146">Peru</option>
                            <option value="85">Philippines</option>
                            <option value="95">Poland</option>
                            <option value="105">Portugal</option>
                            <option value="9">Puerto Rico</option>
                            <option value="174">Qatar</option>
                            <option value="57">Reunion</option>
                            <option value="125">Romania</option>
                            <option value="98">Russian Federation</option>
                            <option value="35">Rwanda</option>
                            <option value="172">Saint Kitts and Nevis</option>
                            <option value="152">Saint Lucia</option>
                            <option value="229">Saint Pierre and Miquelon</option>
                            <option value="182">Saint Vincent and the Grenadines</option>
                            <option value="171">Samoa</option>
                            <option value="124">San Marino</option>
                            <option value="228">Sao Tome and Principe</option>
                            <option value="8">Satellite Provider</option>
                            <option value="94">Saudi Arabia</option>
                            <option value="56">Senegal</option>
                            <option value="126">Serbia</option>
                            <option value="31">Seychelles</option>
                            <option value="51">Sierra Leone</option>
                            <option value="82">Singapore</option>
                            <option value="119">Slovakia</option>
                            <option value="134">Slovenia</option>
                            <option value="230">Solomon Islands</option>
                            <option value="208">Somalia</option>
                            <option value="29">South Africa</option>
                            <option value="19">Spain</option>
                            <option value="163">Sri Lanka</option>
                            <option value="39">Sudan</option>
                            <option value="190">Suriname</option>
                            <option value="46">Swaziland</option>
                            <option value="6">Sweden</option>
                            <option value="28">Switzerland</option>
                            <option value="153">Syrian Arab Republic</option>
                            <option value="86">Taiwan</option>
                            <option value="103">Tajikistan</option>
                            <option value="32">Tanzania, United Republic of</option>
                            <option value="75">Thailand</option>
                            <option value="54">Togo</option>
                            <option value="236">Tokelau</option>
                            <option value="233">Tonga</option>
                            <option value="162">Trinidad and Tobago</option>
                            <option value="71">Tunisia</option>
                            <option value="106">Turkey</option>
                            <option value="215">Turkmenistan</option>
                            <option value="179">Turks and Caicos Islands</option>
                            <option value="231">Tuvalu</option>
                            <option value="41">Uganda</option>
                            <option value="102">Ukraine</option>
                            <option value="130">United Arab Emirates</option>
                            <option value="1">United Kingdom</option>
                            <option value="2">United States</option>
                            <option value="159">Uruguay</option>
                            <option value="137">Uzbekistan</option>
                            <option value="193">Vanuatu</option>
                            <option value="157">Venezuela</option>
                            <option value="88" selected="selected">Vietnam</option>
                            <option value="151">Virgin Islands, British</option>
                            <option value="224">Wallis and Futuna</option>
                            <option value="150">Yemen</option>
                            <option value="62">Zambia</option>
                            <option value="58">Zimbabwe</option>
                        </select>
                    </td>
                </tr>
                <tr>
                    <td><label for="occupation" class="darkgrey">Occupation:</label></td>
                    <td><input class="text edit_field" id="user_occupation" name="user[occupation]" size="30" type="text" value="[:occupation:]"></td>
                </tr>
                <tr>
                    <td><label for="site" class="grey">Website URL:</label></td>
                    <td><input class="text edit_field light" id="user_website" name="user[website]" size="30" value="[:website:]" type="text"></td>
                </tr>
            </tbody>
        </table>
        <div class="more_bottomspaced more_topspaced">
            <input value="Save" class="button" type="submit">
            <input class="button" value="Cancel" onclick="history.back(); return false;" type="button">
        </div>
    </form>
</div>